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52157-Z
ho��pF SOUlyylo Town of Southold * P.O. Box 1179 0 53095 Main Rd uNV.p i Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46876 Date: 03/04/2026 THIS CERTIFIES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: 385 Grissom Ln Southold, NY 11971 Sec/Block/Lot: 7 8.-1-2 9 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 07/08/2025 Pursuant to which Building Permit No. 52157 and dated: 08/07/2025 Was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Door and Window replacements to an existing single-family dwelling as applied for. The certificate is issued to: Henry Sommer , Bernadette Izzillo-Sommer Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: tho ' d S nature ofsooTyolo _ TOWN OF SOUTHOLD BUILDING DEPARTMENT ' a4 TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 52157 Date: 08/07/2025 Permission is hereby granted to: Henry A Sommer 385 Grissom Ln Southold, NY 11971 To: install door and window replacements to an existing single-family dwelling as applied for. Premises Located at: 385 Grissom Ln, Southold, NY 11971 SCTM# 78.4-29 Pursuant to application dated 07/08/2025 and approved by the Building Inspector. To expire on 08/07/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total 350.00 Building Inspector w OF SO//j�,° h� �O f # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CA LKING [ ] FRAMING /STRAPPING [ FINAL tJ cv [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 0 rlolo� DATE 3 INSPECTO ' FIRLD INSPECTION REPORT DATE COMMENTS I�UUNDA"1'lON (1S1') --- --- � a FOUNDATION (2ND) ..._._..._._ 1, ROUGH FRAMING & PLUMBING _.-.- GN CA INSULATION PER N, Y. - --- -_ .__._---._--- --......-----.-.--- ..__. t� STATE ENERGY CODE FINAL ADDITIONAL COMMENTS -- - rn Nx -o y� d o,As°fFOL'f000 TOWN OF SOUTHOLD—BUILDING DEPARTMENT yi Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 of ao�� Telephone (631) 765-1802 Fax(631) 765-9502 hgps://www.southoldtowM.izov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 15 Building Inspector: JUL — 8 2025 GJ Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owner's Authorization form(Page 2)shall be completed. Town Of Southold Date:July 9, 2025 OWNER(S)OF PROPERTY: Name:Henry Sommer&Bernadette Izzillo-Sommer SCTM#1000- ProjectAddress385 Grissom Lane, Southold,_ NY-11.971 Phone#:646-287-0439 Email:berniei'_ aol.com Mailing Address:same as above CONTACT PERSON: Name:Henry Sommer Mailing Address:same as above Phone#:646-287-0439 Email_hajs99@aol.com _ _ __ _-_ DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Premier Building Mailing Addre5s:769 Fulton Street, Farmingdale,_NY 11735_ Phone#:631-682-5495 (Ralph Vit-ga) Email:RVIRGA@PREMIERBUILDINGNYMCOM DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: [il Other Re-siding of house&replacement of 6 windows&1 door. $150,000 Will the lot be re-graded? ❑Yes ©No Will excess fill be removed from premises? Dyes RNo 1 PROPERTY INFORMATION Existing use of property_prlll'lary.._realdGnCe Intended use of property:Drima_ry�reSldeClCe_ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes BNo IF YES, PROVIDE A COPY. 19 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town-of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, Additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section.210.45 of the New York'State'Penal Law. Application Submitted By(print name):Henry Sommer ❑Authorized Agent BOwner Signature of Applicant: Date: July 9, 2025 Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF Commission Expires April 14,2 � Henry Sommer being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. �Sworn before me this / �ay of T—UAe� ,20 � Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 ` r[EFf�EF��.i0�t�1W O!'wE5 f_C¢CE E5TA7'�y;x7 I E aVFFaItNgr_S: IrOTHQU39 yN ip � Z Wr'NC 5.1. GFFICE5 MAP 8 $ _ st1FTbLK CO,MHtA.iL.t t7tt 0D t►T - TO'.t OF..SLEEPv �,L LOW;�Il�0'IN -vF OFFICE A5 rMP 6951, t I tle :mid' Cftl�1 1 r I VACAN�) (vAGN r) :eES '1?E519E PtCE� �_✓ t �vL�I`fL`� ifAT7lRMOl•llAtlfT TNEMATl*UPPLY AND UWAKDWOEAL tly' !` 1 0 _ tJ'Z a^ T- OONFORfd TO THt SfAMDA11� THE `t4d'S6 1 RWFOLX CO.09PT,O_F HKALTN SMV10Ef. IuN -- •- _ C - - - Altr MANT Die cc y,K* CouNrr D 'T. OF WALT►t t` �OCX E! \�1 f1IkVIC7f - FFootA"FROVAL OF � r^ Pa' :� l raNtrRuctwrtwrLr �. IPATLI RIB \VACAIA')_ '� _ �' -•''aY'- '..a ` H.S-Iltfi NO.. :' �"' - - y�'✓' �� �'l 9, ,,mac., i ArrttOvw: - i WhckNT), tw lrmx Co.-TAX&Aw OW. 94CT. BLOCK pct., 1u, N •may [V,a_ANr) i MAP-,-OF PROPQ; TY p 1 tv' sa .5-JRVEY'E!.# F03Z , w��:ycw�M tiM+• �v>r ,a bl Ty' 3 �i3i .i iv/CAN } ' ' 40�� pun muftwomm r `3'JUTF1,'LG n 1 �� 1 •7Uya^21DFaCi�'1'li�11J��••� '?'r;1 e,...,r is t •� � /.1.�.!l>r^+�sd.ar }:-E ' ti `� .`r i�ief'��r-sir t �: tt t 1 m =s mpg"*"*;"*I we oft map* 11_ — ts�tlttta�tie tp�Gwttw taw Na a..�.�w� ir�r+�• r `L ttl""#4 by Udl ll"an=.t joed!ud ,t �-� � tli�c� iylr�elllj '• _ �' "1 .xel fAA ORiENMORT' Y� Docusign Envelope ID:149E991445914414-92FC-FAA31DFD796E t'UbLurfler:nervy OU111111er rrujeuL Name: 385 Grissom Lane Order Number: 250KR0009 Quote Number: 19497998 Etna# 'Lodatlon: F. 35 None Assigned Boneill, Multi Bi Fold Door,Outswing BiFold, 21.411,88.5 X 103, Satin Anodized oty 1:88.5103 Outswing BlFold Multi 131 Fold Door Frame Size: 88 1/2 X 103 11 1 0 PK# Unit Type: 3,2L-1 R,Flush General Information: Block/Box Frame,3,2, 1,Passage Door,Right 2202 Exterior Color/Finish: Satin Anodized Interior Color I Finish: Match to Exterior Viewed From Exterior Sash/Panel: Contemporary,Contemporary,Standard,3,25,3.25,3.25 Glass: Insulated Dual Tempered Low-E LoE 366 Argon Non High Altitude 1" Hardware Options: Typical,Dallas Lever,Satin Nickel,Multipoint Lock,DualpoInt Lock Wrapping Information: Perimeter Length=383". Rough Opening:89"X 103.5" APPAPED AS NOTED DA B.P -5-2) 5`7 COMPLY WrrH ALL CODES OF FEE3 OCCUPANCY OR FEE - Bt NEW PORK STATE&TOWN CODES AS REQUIRED AND ITIONS OF USE IS UNLAWFUL NOTIFY BUILDING DEPARTMENT AT 631-765-1602 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: SOUMOM M ZBA WITHOUT CERTIFICATE 1. FOUNDATION-TWO REQUIRED 80"M TOWN PLMNWG BOM0 'A'on"'3 COGo"TOM TOM So FOR POURED CONCRETE / OF OCCUPANCY 2. ROUGH-FRAMING&PLUMBING SO TOWN TRUSTEES N.Y.S. EG 3. INSULATION So 00 H� 4. FINAL-CONSTRUCTION MUST SO OLD HPC BE COMPLETE FOR C.O. S HD ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON,ERRORS For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 511612025 Contract-Detailed Page 2 of 6 M BER"0 F LINES: 6 TOTAL UNIT QTY: 6 MARK UNIT PRODUCT LINE ITEM 1 Den Elevate Double Hung CN 3476 RO 341 /2" X 761 /4" Entered as CN 3476 2 Kitchen Elevate Elevate Assembly RO 49" X 35 5/8" Entered as Size by Units 3 Bed 1 Elevate Double Hung CN 3464 RO 341 /2" X 641 /4 " Entered as CN 3464 4 Master Bath TEMP? Elevate Casement CN 2535 RO 2511 X 35 5/8" Entered as CN 2535 5 Master Bed Elevate Casement CN 3363 RO 33" X 63 5/8" Entered as CN 3363 6 Master Bed Elevate Elevate Assembly RO 49" X 63 5/8" Entered as Size by Units